VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Am J Speech Lang Pathol. 2013 May;22(2):S334-69. doi: 10.1044/1058-0360(2013/12-0070).
This investigation was designed to examine the generalization effects of semantic treatment for word retrieval deficits in people with aphasia. Semantic feature analysis (SFA; Boyle & Coelho, 1995), typicality treatment (Kiran & Thompson, 2003), and mediating strategy training were combined to maximize potential generalization effects.
Treatment, which included SFA and a semantic feature judgment task, was conducted with 9 participants with chronic aphasia in the context of multiple baseline designs across behaviors. Typical and atypical exemplars were trained across animate and inanimate categories. Treatment was sequentially modified to overtly train the use of SFA as a mediating strategy.
Eight of the 9 participants demonstrated improvements in naming of trained stimuli. Positive generalization effects were limited overall; possible response generalization was evident for 5 participants. Instruction in the use of a mediating strategy resulted in improved naming of treated words for all participants; however, generalization to untreated words did not occur.
Treatment using SFA resulted in improved naming of treated typical and atypical exemplars in both animate and inanimate categories for 8 of 9 participants. Training in a mediating strategy also resulted in improved retrieval of experimental words. Regardless of intervention approach, generalization to untreated items was limited.
本研究旨在考察语义治疗对失语症患者词汇检索缺陷的泛化效果。语义特征分析(SFA;Boyle & Coelho,1995)、典型性治疗(Kiran & Thompson,2003)和中介策略训练相结合,以最大限度地提高潜在的泛化效果。
9 名慢性失语症患者接受了包括 SFA 和语义特征判断任务在内的治疗,治疗在多个行为的多个基线设计中进行。对有生命和无生命类别的典型和非典型示例进行了训练。治疗依次进行修改,以明确训练 SFA 的使用作为中介策略。
9 名参与者中有 8 名在命名训练刺激物方面有所改善。总体而言,阳性泛化效应有限;5 名参与者表现出可能的反应泛化。使用中介策略的指导导致所有参与者对治疗词的命名得到改善;然而,未治疗的词没有发生泛化。
使用 SFA 的治疗导致 9 名参与者中的 8 名在有生命和无生命类别中对治疗的典型和非典型示例的命名得到改善。中介策略的训练也导致了实验词的检索得到改善。无论干预方法如何,对未治疗项目的泛化都受到限制。